MRS. ISAKE LOCKETT HOLLOWAY


Address: 925 W Magnolia St, Compton, CA 90220
Phone: 3107564799

MRS. ISAKE LOCKETT HOLLOWAY (NPI# 1437474376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437474376
Entity Type Individual
Full Name MRS. ISAKE LOCKETT HOLLOWAY
Credential RN, NP
Practice Address 925 W Magnolia St
Compton
CA 90220
Mailing Address 925 W Magnolia St
Compton
CA 90220-1827
Practice Telephone 3107564799
Mailing Telephone 3107564799
Enumeration Date 2010-04-04
Last Update Date 2018-07-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 771653 CA Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
NP95009302 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 925 W MAGNOLIA ST
City COMPTON
State CA
Zip Code 90220

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1144584806 Jeanette Monique Kidd Nurse Practitioner 1112 N Santa Fe Ave, Compton, CA 90221-1427 2012-06-27
1538350293 Alexis Gomez Gonzalez Nurse Practitioner 2115 N Wilmington Ave, Compton, CA 90222-2030 2007-08-07

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Competitor

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City COMPTON
Zip Code 90220

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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